Individual
DR. TRAVIA CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9596 BENTLEY DR, GROVETOWN, GA 30813-0279
(706) 305-9560
Mailing address
3043 FOX SPRING RD, AUGUSTA, GA 30909-3097
(229) 669-5557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
BN123560
GA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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